Nursing experience of digestive function maintenance in 25 patients after thoracic and abdominal aortic eplacement
LI Wen-hui
LIU Yao-rong
YANG Yuan-yuan
WU Qiu-yi
CHENG Yun-qing
Department of Cardiac Surgery,Guangdong Cardio-vascular Institute,Guangdong Province People's Hospital,Guangdong Academy of Medical Sciences,Guangzhou 510080,China
摘要：Objective:To explore the nursing experience of digestive function after thoracic and abdominal aor-tic replacement in order to promote the better recovery.Methods:25 patients undergoing thoracic and abdominal aortic replacement were managed after operation.First,the fluid volume and blood pressure were controlled,and the use of vasoactive drugs was strictly regulated to ensure the perfusion of abdominal organs.And the enteral nutri-tion is carried out as early as possible to accelerate the recovery of gastrointestinal function of patients;And multi-mode analgesia is adopted to promote patients to get out of bed as early as possible to recover gastrointestinal peri-stalsis;At the same time,anticoagulation management is strengthened to prevent microthrombosis.Results:23 of 25 patients after thoracic and abdominal aortic replacement recovered well and discharged smoothly.2 Cases died,1 case died of hemorrhagic shock due to rupture of abdominal great vessels,and 1 case died of multiple organ fail-ure due to septic shock.Conclusion:To strengthen the maintenance of digestive function,ensure the blood perfu-sion of gastrointestinal tract,get out of bed early,promote the gastrointestinal peristalsis and implement enteral nu-trition as early as possible,can promote the recovery of gastrointestinal function,accelerate the rehabilitation pro-cess and shorten the hospitalization time.
机标关键词：maintenancefunctionafterabdominalaorticdigestiveeplacementexperience
论文发表日期：2022-09-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：6( 185-190 )
英文信息